| NPI | 1851176309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: SC 4788) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 8259) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |