| NPI | 1619958758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 31418) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 31418) |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-08-25 |