| NPI | 1396967030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7253) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-10-05 |