NPI | 1396099438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38256) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 29929) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA 29929) | |
103T00000X Psychologist (Licence: TX 38256) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA 29929) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 29929) | |
103TC0700X Psychologist, Clinical (Licence: CA 29929) | |
103TC1900X Psychologist, Counseling (Licence: TX 38256) | |
103TC1900X Psychologist, Counseling (Licence: CA 29929) | |
103TF0000X Psychologist, Family (Licence: CA 29929) | |
103TH0004X Psychologist, Health (Licence: TX 38256) | |
103TH0004X Psychologist, Health (Licence: CA 29929) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 29929) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA 29929) | |
Enumeration Date | 2012-10-26 |
Last Update Date | 2022-11-10 |