| NPI | 1821597014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: FL SW14732) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2025-04-25 |