| NPI | 1558795575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PR 9936) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 5431) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2014-01-29 |