| NPI | 1023158466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: GA MFT000296) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: GA MFT000296) |
| 103TC1900X Psychologist, Counseling (Licence: GA MFT000296) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT000296) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-12 |