| NPI | 1518273739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36478) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2494) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2017-05-03 |