| NPI | 1922036037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OK 1007) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 1261) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2017-05-09 |