| NPI | 1902008394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: TX 10901LPC) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX MFT) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |