| NPI | 1427440098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 004625) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70669) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-05-15 |