| NPI | 1508624115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |