| NPI | 1336708239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19580) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 41997) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-10-19 |