| NPI | 1083057566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC07270) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist (Licence: AR 12-49 AE-PL) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-10-15 |