| NPI | 1326835935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 5894) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: AL 987456A) |
| 103TF0000X Psychologist, Family (Licence: LA 1234) | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |