| NPI | 1841644564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 35002) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 35002) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-07-14 |