| NPI | 1437117645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 1512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-0223) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |