| NPI | 1659608065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0190391) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63257) |
| 103T00000X Psychologist | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2017-11-29 |