| NPI | 1598841454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32385) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19511) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2011-04-18 |