| NPI | 1124747407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 39515) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202438) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |