| NPI | 1609937168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 10549595-2504) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7402) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-03-06 |