| NPI | 1457671232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 242609) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2019-04-10 |