| NPI | 1568421493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37603) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2490) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2022-07-21 |