| NPI | 1144364779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 15764) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 33262) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-09 |