| NPI | 1518676097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY3651) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT761) |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2022-11-23 |