| NPI | 1891933149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY11831) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2329) |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2023-04-06 |