| NPI | 1154704153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4889) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-08-21 |