| NPI | 1972677391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32947) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 32947) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-03-14 |