| NPI | 1003915711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 757) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2269) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-02-17 |