| NPI | 1437167053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002998) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012884) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2026-03-23 |