| NPI | 1164237822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 91177) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 70213) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |