| NPI | 1750616710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TS0200X Psychologist, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-11-11 |