NPI | 1053040659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34435) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 34435) |
Enumeration Date | 2022-06-08 |
Last Update Date | 2025-05-08 |