| NPI | 1790127447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12360) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14769) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2025-09-11 |