NPI | 1942529201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 37008) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63469) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2017-01-31 |