| NPI | 1932123759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 26896) |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy (Licence: TX 26896) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |