| NPI | 1982638284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 31406) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 3-1406) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 31406) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 31406) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 31406) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 31406) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 31406) | |
| 103TF0000X Psychologist, Family (Licence: TX 31406) | |
| 103TH0004X Psychologist, Health (Licence: TX 31406) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 31406) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 31406) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: TX 31406) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-05-27 |