| NPI | 1073593844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SD 350) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD LMFT1161) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2023-12-16 |