| NPI | 1245554500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005280) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 12600) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |