| NPI | 1558464602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 18536) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-02-29 |