| NPI | 1194451823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 6146) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-28 |