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 |