| NPI | 1104969419 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 377) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 946) | 
| Enumeration Date | 2007-02-15 | 
| Last Update Date | 2010-08-18 |