| NPI | 1952716060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 106H00000X Marriage & Family Therapist | |
| 103TF0200X Psychologist, Forensic | |
| 103TC1900X Psychologist, Counseling | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-07-25 |