| NPI | 1700988862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 22153) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: TX 22153) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |