| NPI | 1508580663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KS 03045) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MO 2021048416) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |