| NPI | 1699880021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32215) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 32597) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-06-14 |