| NPI | 1154498509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34008803A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2389123) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-05-14 |