| NPI | 1932211711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL 0001636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SWFL0001636) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-07-14 |