| NPI | 1497366124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VA 0810005941) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: NC 6505) |
| Enumeration Date | 2020-08-15 |
| Last Update Date | 2024-08-01 |