| NPI | 1023367232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38312) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63553) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2020-08-17 |