| NPI | 1275863177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 32520) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: TX 32520) |
| 103TF0000X Psychologist Family (Licence: TX 32520) | |
| 103TF0200X Psychologist Forensic (Licence: TX 32520) | |
| 103TH0004X Psychologist Health (Licence: TX 32520) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |