| NPI | 1528071701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 003969) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 003969) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-09-12 |