| NPI | 1467079889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008211) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC12997) |
| 101YP2500X Counselor, Professional (Licence: DC PRC200001300) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-07-13 |