| NPI | 1417383043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 4672-LCPC) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY-1976) |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2025-02-05 |