| NPI | 1912414541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38403) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74944) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-12-13 |