NPI | 1265528152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 467) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 444) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-09 |