| NPI | 1033418231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007333) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR 4568) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001210) | |
| 106H00000X Marriage & Family Therapist (Licence: OR T0583) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-29 |