NPI | 1770732018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1380) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT-194) |
106H00000X Marriage & Family Therapist (Licence: HI 194) | |
Enumeration Date | 2008-09-11 |
Last Update Date | 2021-09-17 |