| NPI | 1841324753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: MO 01089) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 300075) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2010-08-25 |