| NPI | 1659632081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004502) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2023-04-03 |