| NPI | 1265214332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KS 03161) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MO 2022046957) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |