| NPI | 1144238056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 3924123) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: WI B643000025208) |
| 106H00000X Marriage & Family Therapist (Licence: WI 424124) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-04-28 |