| NPI | 1134244171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: MA 680) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 2010) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2025-09-11 |