| NPI | 1568219301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |