| NPI | 1871354753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: UT 12727043-2501) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AZ PSY005882) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2026-03-02 |