| NPI | 1588285373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 097603) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 097602) |
| 101YS0200X Counselor, School (Licence: FL 1077884) | |
| 225C00000X Rehabilitation Counselor (Licence: 00112743) | |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2022-02-07 |