| NPI | 1518843549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: IA 130887) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: IA 130887) |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |