| NPI | 1619864303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |