| NPI | 1003256884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 163397) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: Unlicensed) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2026-01-20 |