| NPI | 1366110272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 817) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 817) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2022-05-10 |