| NPI | 1043260011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 4747) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PR 7932) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-09-25 |