| NPI | 1699942490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36002) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 15645) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2023-11-28 |