| NPI | 1073169876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 79028) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2021-03-26 |