| NPI | 1053694372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 0990) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2014-04-28 |