| NPI | 1871287177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |