| NPI | 1033230990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004113) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 4113) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 0004113) | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-04-01 |