| NPI | 1740453802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 30899) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: TX 30899) |
| 103TH0004X Psychologist, Health (Licence: TX 30899) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |