| NPI | 1588157523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12269) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15471) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-07-26 |