| NPI | 1154857894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 8217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 13684) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-12-10 |