| NPI | 1689234411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 73645) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 73645) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |