| NPI | 1780085845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 3643) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 8692) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2023-08-02 |