| NPI | 1467015164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TX 32769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 59940) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |