| NPI | 1669296901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 8310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 14087) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-12-10 |