| NPI | 1326527201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 23116) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2859) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2025-04-21 |