| NPI | 1386849073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MD 06238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7659) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2024-10-14 |