| NPI | 1205518685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-15 |