NPI | 1184945768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 7074) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 8269) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2024-12-03 |