| NPI | 1003080508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 59427) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: TX 59427) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2023-07-20 |