| NPI | 1992175129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH14019) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-08-29 |