| NPI | 1841335247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 16408) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 16408) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-08-30 |