| NPI | 1629605936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: TX 34340) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 34340) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-05-19 |