| NPI | 1447244611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301010693) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC40413) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-08 |