| NPI | 1699180778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37375) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2016-10-13 |