| NPI | 1679731103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62240) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 62240) |
| 102L00000X Psychoanalyst (Licence: TX 62240) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2008-05-31 |