| NPI | 1285390005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 174400000X Specialist | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2023-01-03 |