| NPI | 1982758512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4397) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 32724) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-11-08 |