| NPI | 1568988988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90395) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2023-03-14 |