NPI | 1588896799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32261) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 32261) |
103TH0004X Psychologist, Health (Licence: TX 32261) | |
Enumeration Date | 2009-08-20 |
Last Update Date | 2009-08-20 |