NPI | 1861454902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 25365) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 25365) |
103TA0700X Psychologist, Adult Development & Aging (Licence: TX 25365) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 25365) | |
103TC1900X Psychologist, Counseling (Licence: TX 25365) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 25365) | |
103TF0000X Psychologist, Family (Licence: TX 25365) | |
103TH0100X Psychologist, Health Service (Licence: TX 25365) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: TX 25365) | |
103TR0400X Psychologist, Rehabilitation (Licence: TX 25365) | |
Enumeration Date | 2006-04-04 |
Last Update Date | 2019-07-01 |