| NPI | 1548545098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 4287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 8702) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2023-01-05 |