| NPI | 1699906628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3582) |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2014-01-29 |