| NPI | 1730601048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14214) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2023-04-24 |