| NPI | 1528033768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 512) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 82) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2012-04-30 |