| NPI | 1821030370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC NC1070) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 1070) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-10-12 |