| NPI | 1477800290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 32301) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 32301) |
| 103TC0700X Psychologist, Clinical (Licence: TX 32301) | |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |