| NPI | 1548953961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |