| NPI | 1215570924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC P013851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013851) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-07-15 |