| NPI | 1699095257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37977) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 3483) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2024-02-01 |