| NPI | 1477993301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 39799) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM T-0159071) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2026-03-12 |