| NPI | 1275348179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: OK 1481) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: TX 36914) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |