| NPI | 1558962266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 8035) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: SC 5611) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2022-12-21 |