| NPI | 1669825709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: ID LPC-7920) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ID SE-202979) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2023-12-21 |