| NPI | 1083432330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS LP03461T) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10004546) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2025-11-20 |