| NPI | 1033583158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist (Licence: KY 174267) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2025-10-21 |