| 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 |