| NPI | 1528739794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 39264) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 68385) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2023-05-12 |