| NPI | 1477790954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1655) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3262) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2022-04-20 |