| NPI | 1174044051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: UT 12466836-2501) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist Clinical (Licence: UT 12466836-2504) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-27 |