| NPI | 1679051726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: SC 1541) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017901) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2025-11-05 |