| NPI | 1407198666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36075) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36075) |
| 103TC0700X Psychologist, Clinical (Licence: TX 36075) | |
| 103TF0000X Psychologist, Family (Licence: TX 36075) | |
| 103TF0200X Psychologist, Forensic (Licence: TX 36075) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 36075) | |
| 103TH0004X Psychologist, Health (Licence: TX 36075) | |
| 103TS0200X Psychologist, School (Licence: TX 36075) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 36075) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 36075) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: TX 36075) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 36075) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 36075) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2024-06-12 |