| NPI | 1417420225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 101YM0800X Counselor, Mental Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-04-04 |