| NPI | 1730528472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39169) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16521) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2022-05-23 |