| NPI | 1881038776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 65378) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 33245) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |