| NPI | 1447451810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 35144) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 19664) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-02-22 |