| NPI | 1295778728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8780) |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical (Licence: NC C005480) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2025-05-22 |