| NPI | 1922444512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 19741) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19741) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |