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 |