| NPI | 1184792434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70406) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1879) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2022-07-08 |