| NPI | 1396556049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103T00000X Psychologist | |
| 103TF0000X Psychologist, Family | |
| 104100000X Social Worker | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-02-04 |