| NPI | 1922322957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TF0000X Psychologist Family | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |