| NPI | 1336590603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5272-57) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1043-124) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-09-18 |