| 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) | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-02-20 | 
| Last Update Date | 2025-05-29 |