| NPI | 1215260161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37607) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 73632) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2023-10-27 |