| NPI | 1083167944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WV 1135) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV AP00941739) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |