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 |