| NPI | 1194032276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5079-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical (Licence: WI 5116-057) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2025-02-17 |