| NPI | 1619612306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 168021) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TN 2619) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |