| NPI | 1114061462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO SW002182) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 300053) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-06-23 |