| NPI | 1457747438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 9893) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 005730) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2019-04-15 |