| NPI | 1194072389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 1415) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2022-09-19 |