| NPI | 1992044267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 15548) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: TX 15548) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 15548) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 15548) | |
| 103TF0000X Psychologist, Family (Licence: TX 15548) | |
| 103TH0004X Psychologist, Health (Licence: TX 15548) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 15548) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 15548) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |