| NPI | 1942912274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10567) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3818-57) |
| 101YP2500X Counselor, Professional (Licence: WI 6543-125) | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |