| NPI | 1952625683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83970) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 3656) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2023-05-01 |