| NPI | 1477523173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC COO1977) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-09 |