| NPI | 1780413641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 103TF0000X Psychologist Family |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |