| NPI | 1326395179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38693) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK H083716645) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2023-08-14 |