| NPI | 1154145506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 135183121) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |