| NPI | 1376744094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 2397) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 60576) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-11-15 |