| NPI | 1427007186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 1544) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 572) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2016-01-14 |