| NPI | 1255398541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist Family (Licence: WI 1783057) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 64124) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2017-02-17 |