| NPI | 1679359418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0006590) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2025-04-15 |