| NPI | 1497186555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38410) |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YP2500X Counselor, Professional (Licence: TX 71103) | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2021-01-05 |