| NPI | 1366986507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 4554) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PR 4554) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2017-02-13 |