| NPI | 1396252805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 102X00000X Poetry Therapist |
| 103K00000X Behavior Analyst | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TE1100X Psychologist Exercise & Sports | |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |