| 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 |