| NPI | 1528360195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 2389) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2024-10-17 |