| NPI | 1407124597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 08510) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 08510) |
| 103TF0000X Psychologist, Family (Licence: TX 08510) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |