| NPI | 1669526281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33055) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 19623) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |