| NPI | 1437640893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NC 6495) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6495) |
| 103TC1900X Psychologist Counseling (Licence: NY 022569) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-01-31 |