| NPI | 1831309640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 21708) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 6463) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |