| NPI | 1043197015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 9995) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: TX 1746) |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |