| NPI | 1679723282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY203874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 28825) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2024-06-28 |