| NPI | 1700882339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 23861) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY 703) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-09-19 |