| NPI | 1437368446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32879) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 16553) |
| 103TC1900X Psychologist, Counseling (Licence: TX 32879) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-03-07 |