| NPI | 1396916300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4014-57) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 4028-125) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2025-07-03 |