| NPI | 1679749691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40291) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 68711) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-09-23 |