| NPI | 1104523513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77510) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5500) |
| 101YP2500X Counselor, Professional (Licence: GA 7090) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-05-09 |