| NPI | 1457702185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: TX 74390) | |
| 103G00000X Clinical Neuropsychologist (Licence: TX 39804) | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 174400000X Specialist | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2023-05-20 |