| NPI | 1225601214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID 9871578) |
| Additional Taxonomies | 101Y00000X Counselor |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ID SE203528) | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-09-09 |