| NPI | 1164024485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 166734) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AK 223703) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2025-05-22 |