| NPI | 1205511656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KS 01552) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2026030368) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2026-07-30 |