| NPI | 1134214141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 2207123LCSW) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 2554124LMFT) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |