| NPI | 1609472836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2023-08-07 |