| NPI | 1083072987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 365000) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 365000) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 365000) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |