| NPI | 1750559399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 2964) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 6871) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |