| NPI | 1518139054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2440) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2024-04-30 |