| NPI | 1619023058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: LA 1112) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 33201) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-09-08 |