| NPI | 1164651691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH27362) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 3347) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2025-08-20 |