| NPI | 1134132624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 23331) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 23331) |
| 103T00000X Psychologist (Licence: TX 23331) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 000790042884) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |