| NPI | 1255464756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 39648) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: TX 39648) |
| 103TC0700X Psychologist Clinical (Licence: CA PSY22573) | |
| 103TC1900X Psychologist Counseling (Licence: TX 39648) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 39648) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: TX 39648) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY22573) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: TX 39648) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY22573) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY22573) | |
| 103TE1100X Psychologist Exercise & Sports (Licence: TX 39648) | |
| 103TH0004X Psychologist Health (Licence: TX 39648) | |
| 103TF0000X Psychologist Family (Licence: TX 39648) | |
| 103TF0000X Psychologist Family (Licence: CA PSY22573) | |
| 103TH0100X Psychologist Health Service (Licence: TX 39648) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-03-28 |