| 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 |