| NPI | 1497551030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 32351) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 58364) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |