| NPI | 1043421167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C6565) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS M6565) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-11-30 |