| NPI | 1356770499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18823) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 33572) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |