| NPI | 1730224262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 34999) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 19361) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-03-10 |