| NPI | 1215551841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TE1100X Psychologist, Exercise & Sports |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103TF0200X Psychologist, Forensic | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2022-04-07 |