| NPI | 1457156663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |