| NPI | 1316362528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW8250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL HT2550) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2550) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-10-29 |