| NPI | 1003157165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 68232) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2024-11-13 |