| NPI | 1750785655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 7867) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 9894) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2025-01-21 |