| NPI | 1356383244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17840) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: TX 19126) |
| 101YM0800X Counselor, Mental Health (Licence: TX 17840) | |
| 103TS0200X Psychologist, School (Licence: TX 33257) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-04-08 |