| NPI | 1801021498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 2-4676) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 2-4676) |
| 103TC1900X Psychologist, Counseling (Licence: TX 2-4676) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 2-4676) | |
| 103TS0200X Psychologist, School (Licence: TX 6448) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2011-07-05 |