| NPI | 1417380684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32810) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15734) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |