| NPI | 1700609336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |