| NPI | 1720001944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 24555) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2190) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-07-21 |