| NPI | 1598147910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5178-57) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 2318-226) |
| 101YP2500X Counselor Professional (Licence: WI 6785-125) | |
| 103TC0700X Psychologist Clinical (Licence: WI 5178-57) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-08-02 |