| NPI | 1487924023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 37558) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2024-01-04 |