| NPI | 1639937550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-06-28 |