| NPI | 1023027497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 37552) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 18395) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-09-15 |