| NPI | 1144009556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-10-03 |