| NPI | 1508237215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 6617) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2025-03-11 |