NPI | 1396794640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7924) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2146) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2015-06-18 |