NPI | 1205912839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q10000521) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2006-10-27 |
Last Update Date | 2007-07-08 |