| NPI | 1487819157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2963) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 991588) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-07-07 |