| NPI | 1407327844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1096) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WI 1096) |
| 174V00000X Clinical Ethicist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |