| NPI | 1740356377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 1587) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M2126) |
| 106H00000X Marriage & Family Therapist (Licence: NM 1587) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |