| NPI | 1760923189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX TX36363) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: TX 36363) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2024-10-10 |