| NPI | 1972741163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NE 1069) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 62808) |
| 101YM0800X Counselor, Mental Health (Licence: IA 001187) | |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2023-04-24 |