| NPI | 1104834175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 23241) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 22341) |
| 106H00000X Marriage & Family Therapist (Licence: TX 1145) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-05-07 |