| NPI | 1073902581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2920) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2021-09-24 |