| NPI | 1831254598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 30553) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 11757) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2007-07-09 |