| NPI | 1578991303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81792) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 40558) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2026-05-06 |