| NPI | 1275697419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1708) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC COO1142) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-02-23 |