| NPI | 1386702207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60394738) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 3333) |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006510) | |
| 103TC0700X Psychologist, Clinical (Licence: OR 2057) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17414) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2025-10-27 |