| NPI | 1245350859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 3673) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1794) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-03-17 |