| NPI | 1184089245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 9931-120) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1132-124) |
| 104100000X Social Worker (Licence: MN 19588) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-06-29 |