| NPI | 1952659062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: TX 70346) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 69701) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2021-08-09 |