| NPI | 1003967399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 9561) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 9561) | |
| 103TC0700X Psychologist, Clinical (Licence: TN 9561) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 9561) | |
| 103TF0000X Psychologist, Family (Licence: TX 9561) | |
| 103TF0200X Psychologist, Forensic (Licence: TX 9561) | |
| 103T00000X Psychologist (Licence: TX 9561) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 9561) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |