| NPI | 1720756273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 4110-57) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 4158-226) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-10-26 |