| NPI | 1285511410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 40502) |
| Additional Taxonomies | 103TE1100X Psychologist Exercise & Sports |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |