| NPI | 1992354765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 4584) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 4584) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |