| NPI | 1871361170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 006542) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: PR 006442) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |