| NPI | 1831234194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 17799) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 3-2098) |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-26 |