| NPI | 1033518931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2015030150) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2014007809) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2019-03-25 |