| NPI | 1871728592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70956) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 1499) |
| 103TF0200X Psychologist, Forensic (Licence: TX 34434) | |
| 101YP2500X Counselor, Professional (Licence: NV 1224) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2024-02-27 |