| NPI | 1780464354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |