| NPI | 1821639089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34292) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 33131) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |