| NPI | 1780366641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2025-06-27 |