| NPI | 1053973511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 14024) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 8775) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2026-01-10 |