NPI | 1285799254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 270973-2501) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: UT 270973-2501) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: UT 270973-2501) | |
103TC0700X Psychologist, Clinical (Licence: UT 270973-2501) | |
103TC1900X Psychologist, Counseling (Licence: UT 270973-2501) | |
103TF0000X Psychologist, Family (Licence: UT 270973-2501) | |
103T00000X Psychologist (Licence: UT 270973-2501) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: UT 270973-2501) | |
103TR0400X Psychologist, Rehabilitation (Licence: UT 270973-2501) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-07-08 |