NPI | 1164775359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 31892) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: TX 31892) |
103TP2701X Psychologist, Group Psychotherapy (Licence: TX 31892) | |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-25 |