| NPI | 1407086598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 62875) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 33252) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |