| NPI | 1669912176 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67853) | 
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 70825) | 
| Enumeration Date | 2017-03-02 | 
| Last Update Date | 2025-10-20 |