| NPI | 1891835823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33411) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 014981-1) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-05-19 |