| NPI | 1144577958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36997) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65777) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2015-12-10 |