| NPI | 1013150655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134367) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001088) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.000948) | |
| 106H00000X Marriage & Family Therapist (Licence: VT 100.0134003) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.016477) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.00001855) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2026-03-05 |