| NPI | 1235247396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: IN 20040027A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000004A) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |