| NPI | 1619217924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 38641) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 64215) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2025-03-05 |