| NPI | 1669786844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY9993) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MH9478) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2018-03-17 |