| NPI | 1881623742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1645-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 1645-057) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-01-19 |