| NPI | 1841172855 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YP1600X Counselor, Pastoral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 171400000X Health & Wellness Coach | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |