| NPI | 1972876324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 67699) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2023-12-20 |