| NPI | 1548626906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68897) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 68897) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-02-23 |