| NPI | 1073086484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 75343) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO 0015929) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2026-05-12 |