| NPI | 1679252654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY10167) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 022016) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |