| NPI | 1194871723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 0326) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 0207) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-04-03 |