| NPI | 1689939779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TP0814X Psychologist Psychoanalysis | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2014-02-07 |