| NPI | 1982916680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1210) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0083931) |
| 101Y00000X Counselor (Licence: NM 0083931) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0083931) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2026-04-15 |