| NPI | 1356312987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VA 0701000968) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: VA 0701000968) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-07-08 |