| NPI | 1235233883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 263950-3501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 16701) |
| 1041C0700X Social Worker, Clinical (Licence: UT 263950-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 16701) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |