| NPI | 1659639813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64554) |
| 101YP2500X Counselor, Professional (Licence: TX 64554) | |
| 102L00000X Psychoanalyst (Licence: TX 64554) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2020-07-20 |