| NPI | 1093255960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 7374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 22520) |
| 104100000X Social Worker (Licence: PR 14459) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2022-07-05 |