| NPI | 1265734826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 39433) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 3989) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2022-09-06 |