| NPI | 1346390267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 1002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV AP00939959) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-11-08 |