| NPI | 1386281756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37995) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 37995) |
| 103TF0000X Psychologist, Family (Licence: TX 37995) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 37995) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |