| NPI | 1972072635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 251B00000X Case Management | |
| Enumeration Date | 2018-11-24 |
| Last Update Date | 2021-04-07 |