| NPI | 1487252789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2016008352) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04012) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2026-05-22 |