| NPI | 1174312540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 225XM0800X Occupational Therapist, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |