| NPI | 1003946310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 38400) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 014827) |
| 103TC1900X Psychologist, Counseling (Licence: NJ 489700) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-11-23 |