| NPI | 1356409809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 25760) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: TX 25760) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-08-02 |