| NPI | 1700425899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 15132) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PR 6552) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-05-21 |