| NPI | 1699283911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4950) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37678) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-04-24 |