| NPI | 1487439873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 106H00000X Marriage & Family Therapist | |
| 372600000X Adult Companion | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2025-06-17 |