| NPI | 1326645177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 17495) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL 1350) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |