| NPI | 1801869011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 676) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 288) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-02-29 |