| NPI | 1245270768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD 88025) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2913) |
| 104100000X Social Worker (Licence: LA 6633) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 857) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |