NPI | 1871607481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 1935) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 0295) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2007-10-22 |