| NPI | 1093234536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 5758) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PR 8489) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-10-28 |