NPI | 1003852005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301005602) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MI 4101005340) |
106H00000X Marriage & Family Therapist (Licence: MI 4101005340) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2007-07-08 |