| NPI | 1962028100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0015054) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-04-06 |