| NPI | 1417251463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8203) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 4958) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2022-08-25 |