NPI | 1225046949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: DC 989) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 291) |
106H00000X Marriage & Family Therapist (Licence: LA 288) | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2025-09-11 |