| NPI | 1629850243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39147) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82126) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |