| NPI | 1023657277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 78478) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2026-03-18 |