| NPI | 1285689679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 0958) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 55) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |