| NPI | 1316535610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 10463) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL 10463) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |