| NPI | 1194392183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TH0004X Psychologist, Health (Licence: FL 193200000X) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |