| NPI | 1184702003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2609) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NE 1078) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-04-11 |