| NPI | 1679673172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 25353) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 25353) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |