| NPI | 1548283286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 2-5609) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 6416) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-10-20 |