| NPI | 1871534107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-6891) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 1196) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-03-04 |