| NPI | 1558148981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VT 047.0133707) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-1137) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2026-03-22 |