| NPI | 1437296753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 23572) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 23572) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 23572) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 23572) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 23572) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |