NPI | 1205904703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 987) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NH 17) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-07-08 |