| NPI | 1790067924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 7039) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 10436) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2022-07-21 |