| NPI | 1104990845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NM 0084851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0084851) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-01-12 |