| NPI | 1891922761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 6870272-6009) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 6870272-6009) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-10-21 |