| NPI | 1083052765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1015) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2016-04-13 |