| NPI | 1538180047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 25031) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 25031) |
| 103TC0700X Psychologist, Clinical (Licence: TX 25031) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 25031) | |
| 103TF0000X Psychologist, Family (Licence: TX 25031) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: TX 25031) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-08-22 |