| NPI | 1376399576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |