| NPI | 1851656524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007830) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 67681) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2025-08-25 |