| NPI | 1104157155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 34556) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 34556) |
| 103T00000X Psychologist (Licence: TX 34556) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 34556) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2018-01-14 |