| NPI | 1801080601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 2918) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 6028) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |