| NPI | 1790234177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5046) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 12944) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2023-07-19 |