| NPI | 1962935890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010771) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-02-05 |