| NPI | 1588769855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC 00300469) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 2944) |
| 1041C0700X Social Worker, Clinical (Licence: DC 00300469) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 2844) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |