| NPI | 1720281298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000845) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 34700) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-11-03 |