| 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 |