| NPI | 1467125328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 38704) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |