| NPI | 1578692232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 9136) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 8480) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-10-23 |