NPI | 1972678399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MO PY01208) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 0000300049) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-11 |