| NPI | 1396456786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38574) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 38574) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2024-12-12 |