| NPI | 1487954293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 3-4798) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 34798) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2011-06-16 |