| NPI | 1033413646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5149-057) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 867-124) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2024-12-04 |