| NPI | 1538243613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3573-57) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 7027123) |
| 106H00000X Marriage & Family Therapist (Licence: WI 679124) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-11-22 |