| NPI | 1134452204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3806) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: NC 3806) |
| 171M00000X Case Manager/Care Coordinator (Licence: NC 3806) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |