| NPI | 1164150074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011597) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91438) |
| 103TC1900X Psychologist, Counseling (Licence: VA 0701011597) | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2023-08-22 |