| NPI | 1679582563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2983-57) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 3288) |
| 101YP2500X Counselor, Professional (Licence: WI 3288125) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-05-11 |