| NPI | 1770646762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PSY2413) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: DC PSY1418) | |
| 103T00000X Psychologist (Licence: ID PSY202216) | |
| 103T00000X Psychologist (Licence: CO PSY1519) | |
| 103T00000X Psychologist (Licence: CA PSY6649) | |
| 103TC0700X Psychologist, Clinical (Licence: WA 2413) | |
| 103TC0700X Psychologist, Clinical (Licence: VA PSY810001654) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC6202) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2022-11-05 |