| NPI | 1578043493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3586-57) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 3586-57) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2021-01-19 |