| NPI | 1114146966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L270) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1882-C) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-06-12 |