| NPI | 1033386008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: WI 625048) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 91-228) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |