| NPI | 1174826382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3822) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 4196) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |