| NPI | 1386963858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: TX 34555) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 34555) |
| 103TC1900X Psychologist, Counseling (Licence: TX 34555) | |
| 103K00000X Behavior Analyst (Licence: TX 34555) | |
| 101Y00000X Counselor (Licence: TX 34555) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 34555) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 34555) | |
| 101YP2500X Counselor, Professional (Licence: TX 34555) | |
| 103T00000X Psychologist (Licence: TX 34555) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 34555) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 34555) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 34555) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 34555) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 34555) | |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2011-05-12 |