NPI | 1275759086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 224033) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
163W00000X Registered Nurse (Licence: TX 24083) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2009-12-10 |