| NPI | 1629363650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37601) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64544) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2025-06-27 |