| NPI | 1538218250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040736) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000065A) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000424) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.007557) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-10-15 |