| NPI | 1124426853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37248) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2016-04-06 |