| NPI | 1346736543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 38571) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-03-27 |