| NPI | 1982473385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: FL B521540718221) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: FL B521540718221) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL B521540718221) | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |