| NPI | 1710211016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VT 089.0104852) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2014-08-27 |