| NPI | 1124874318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |