| NPI | 1871551465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005358) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002993) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-02-12 |