| NPI | 1184933905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SD LPC-MH30594) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 001329) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2020-04-09 |