| NPI | 1174841910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37933) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201620) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2022-03-29 |