| NPI | 1821221334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34468) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018114-1) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2012-04-20 |