| NPI | 1902073869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 5616) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 8903) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2014-07-10 |