| NPI | 1649496308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 002422) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002422) |
| 103TF0000X Psychologist, Family (Licence: CT 002422) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CT 002422) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 002422) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-08-16 |