| NPI | 1447917927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MO 2021027980) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: KS 03936) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |