| NPI | 1568504199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16683) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 35126) |
| 103TC0700X Psychologist, Clinical (Licence: TX 34022) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-06-22 |