| NPI | 1184875874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32811) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 32811) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 32811) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 32811) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |