| NPI | 1336900232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |