NPI | 1205055688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 0582) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 414) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2016-03-18 |