| NPI | 1265933352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL 2712) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 4375) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 25561) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2026-05-14 |