| NPI | 1265833206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36138) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 36138) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2015-11-30 |