| NPI | 1528101920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY0004645) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MFT000684) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |