| NPI | 1154488468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI Psy 976) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3283) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |