| NPI | 1619112877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI PSY-1524) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI LSW 1557) |
| 1041C0700X Social Worker Clinical (Licence: HI LCSW-3658) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2018-09-27 |