| NPI | 1821158353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33162) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5038) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-02-24 |