| NPI | 1871726141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 36832) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36832) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 36832) | |
| 103TF0000X Psychologist Family (Licence: TX 36832) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: TX 36832) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2018-02-14 |