| NPI | 1497110415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71834) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71834) |
| 103TC1900X Psychologist, Counseling (Licence: TX 71834) | |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2024-10-17 |