| NPI | 1174724322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11093) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist, Clinical (Licence: RI PS01861) | |
| 106H00000X Marriage & Family Therapist (Licence: RI 00144) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-02-22 |