| NPI | 1144364779 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33262) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 15764) | 
| Enumeration Date | 2007-02-16 | 
| Last Update Date | 2025-09-11 |