NPI | 1790928281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8056) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 33487) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2009-04-13 |
Last Update Date | 2018-03-17 |