| NPI | 1245446848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS-0000485) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL mt1461) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-02-16 |