| NPI | 1477582757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR P9211023) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M9712041) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |