| NPI | 1548785942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KS 02903) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 6504) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2023-02-08 |