| NPI | 1235747189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2026-07-20 |