| NPI | 1487189890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 8.004286) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0127747) |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2022-09-09 |