| NPI | 1942549621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL TPPY2809) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2025-08-20 |