| NPI | 1528808565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TF0000X Psychologist, Family | |
| 171400000X Health & Wellness Coach | |
| 101Y00000X Counselor | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-09-17 |