| NPI | 1285040089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2025019744) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2026-02-25 |