| NPI | 1770946105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10832) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 10832) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2023-09-14 |