| NPI | 1770618787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 22982) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 22982) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: TX 22982) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: TX 22982) | |
| 103TC1900X Psychologist Counseling (Licence: TX 22982) | |
| 103TF0000X Psychologist Family (Licence: TX 22982) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-01-21 |