| NPI | 1225812738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: SC 1935) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO 0005616) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2025-08-04 |