| NPI | 1881909786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4282) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C006895) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2012-10-09 |