| NPI | 1063633154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PR 6343) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PR 004609) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-07-31 |