NPI | 1083821136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 732) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6677) |
103TC1900X Psychologist, Counseling (Licence: MA 1665) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2025-09-11 |