| NPI | 1689750911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 002125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 002125) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2008-01-11 |