| NPI | 1104303544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ PSY-005968) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 005968) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2025-04-22 |