| NPI | 1407890114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-602) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-2965) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-05-06 |