| NPI | 1295149292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11207) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 4927) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2025-11-02 |