| NPI | 1629853247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 40325) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-08-23 |