NPI | 1255464418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW598) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT3059) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |