| NPI | 1083821136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6677) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 1665) |
| 106H00000X Marriage & Family Therapist (Licence: MA 732) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |