| NPI | 1588804272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38754) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX LPC14091) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2022-05-25 |