| NPI | 1518534593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-06-27 |