| NPI | 1174613046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 21941) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 36188) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 36188) | |
| 103TH0004X Psychologist, Health (Licence: TX 36188) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 36188) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 36188) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-08-12 |