| NPI | 1114226453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34989) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: 34989) |
| 103TH0004X Psychologist, Health (Licence: TX 34989) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 34989) | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |