| NPI | 1043769193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 106H00000X) |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 106H00000X) | |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2021-02-13 |