| NPI | 1750449559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18283) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 18283) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-09-06 |