| NPI | 1861657389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 24079) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 2663) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2020-12-28 |