| NPI | 1972077048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2023044352) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2025-06-27 |