| NPI | 1780402610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MD LGP9496) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9496) |
| 101YP2500X Counselor, Professional (Licence: MD LGP9496) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD LGP9496) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MD LGP9496) | |
| 106H00000X Marriage & Family Therapist (Licence: MD LGP9496) | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |