| NPI | 1861618050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0568) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 25836) |
| 103T00000X Psychologist (Licence: CA PSY 22839) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-08-08 |