| NPI | 1376958199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0068) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS W0111) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |