| NPI | 1003919259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KS 2543) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW0003811) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-08-18 |