| NPI | 1548590078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 65608) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 39657) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2023-11-21 |