| NPI | 1609911130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 33693) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 33693) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-06-09 |