| NPI | 1558500496 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 33884) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007469) | 
| Enumeration Date | 2009-02-17 | 
| Last Update Date | 2009-02-17 |