NPI | 1518077619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 14580) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 10335LPC) |
103T00000X Psychologist (Licence: TX 14580LCSW) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2019-04-15 |