| NPI | 1295830123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: ID PSY-1771449) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC-5352) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-03-24 |