| NPI | 1386381523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 40573) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80704) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2025-07-10 |