| NPI | 1821282781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: TX 30707) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 30707) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2011-11-29 |