| NPI | 1154705671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38537) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 38537) |
| 106H00000X Marriage & Family Therapist (Licence: TX 202589) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2022-10-20 |