| NPI | 1902789357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10380) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 7257) |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-10-08 |