| NPI | 1538149547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89452) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2578) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2026-01-26 |