NPI | 1215079744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 24955) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 24955) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |