| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
|
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TF0000X Psychologist, Family |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 103TP2701X Psychologist, Group Psychotherapy |
| 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |