| NPI | 1649656281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-2298) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH PSY.08767) |
| 106H00000X Marriage & Family Therapist (Licence: MFT-599) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2026-01-22 |