| NPI | 1811387632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 1413) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AZ 1413) |
| 106H00000X Marriage & Family Therapist (Licence: AZ 1413) | |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2015-02-01 |