| NPI | 1770124299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10088318-6009) |
| Enumeration Date | 2019-10-06 |
| Last Update Date | 2022-05-16 |