| NPI | 1417054990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7881) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2077) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2024-02-11 |