| NPI | 1780295790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 022119) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810004843) |
| 103TC1900X Psychologist, Counseling (Licence: OH 7103) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |