| NPI | 1700958071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4233) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-05-28 |