| NPI | 1750552808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: TX 32248) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 32248) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: TX 32248) | |
| 103TC1900X Psychologist Counseling (Licence: TX 32248) | |
| 103TF0000X Psychologist Family (Licence: TX 32248) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |