| NPI | 1881848364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33152) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 32869) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |