| NPI | 1164666145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301005541) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801065016) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |