| NPI | 1376517045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 0821) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 16) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-09-26 |