| NPI | 1851003719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: LA DC860062) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: LA DC860062) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA DC860062) | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |