| NPI | 1811087125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 271874-2501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5201) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2019-06-13 |