| NPI | 1073673299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 3467) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 106H00000X Marriage & Family Therapist (Licence: NC 720) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-07-22 |