| NPI | 1649537879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16652) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 4770) |
| 103TS0200X Psychologist, School (Licence: TX 6283) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |