| NPI | 1265203152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist Family |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |