| NPI | 1275588725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 005673) |
| 106H00000X Marriage & Family Therapist (Licence: MI 005673) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |