| NPI | 1700243193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-1778) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 2-1778) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 2-1778) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 2-1778) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 2-1778) | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |