| NPI | 1033545470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 99) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 204888) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |