| NPI | 1851302657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 24426) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 24426) |
| 103TC0700X Psychologist, Clinical (Licence: TX 24426) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 24426) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 24426) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-12-27 |