| NPI | 1326551722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11070) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 286) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2022-10-26 |