| NPI | 1023862588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0004X Psychologist Health | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |