| NPI | 1396806501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1174) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 110) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-12-08 |