| NPI | 1154466845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 2446) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 1047) |
| 106H00000X Marriage & Family Therapist (Licence: LA 271) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2012-08-14 |