| NPI | 1740674423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 36062) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36062) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2016-04-15 |