| NPI | 1275173536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39274) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 18390) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-09-09 |