| NPI | 1285160036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009520) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 83921) |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-06-10 |