| NPI | 1972776466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5278) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1191) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-06-25 |