| NPI | 1689038481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TX 30510) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 11557) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |