| 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 |