NPI | 1871886846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37268) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4002) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2019-01-31 |