| NPI | 1124902416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1286) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 4682) |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-19 |