| NPI | 1962724427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64118) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64118) |
| 102L00000X Psychoanalyst (Licence: TX 64118) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-07-08 |