| NPI | 1649529777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65995) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 70182) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2024-02-14 |