| NPI | 1720274491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 7702) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PR 9302) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2023-10-19 |