| NPI | 1790914950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 19-01P) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63132) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2023-01-30 |