| NPI | 1295939924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: MD 01742) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM127) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |