| NPI | 1871626648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7759) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8568) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-09-12 |