| NPI | 1598166647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 4568) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: PR 4568) |
| 106H00000X Marriage & Family Therapist (Licence: PR 4568) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |