| NPI | 1588872295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2009031213) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2006014789) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-05-24 |