| NPI | 1417338906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10341) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018569) |
| 106H00000X Marriage & Family Therapist (Licence: NY 001308) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2018-10-26 |