| NPI | 1194247916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 008033) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CT 008033) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 008033) | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |