| NPI | 1770316978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |