| NPI | 1457359051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 23562) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 23562) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 23562) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 23562) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 23562) | |
| 103TF0000X Psychologist, Family (Licence: TX 23562) | |
| 103TF0200X Psychologist, Forensic (Licence: TX 23562) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 23562) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 23562) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: TX 23562) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-10-03 |