| NPI | 1689074577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 6132) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092291) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-06-08 |