| NPI | 1427020262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 1933) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 708) |
| 106H00000X Marriage & Family Therapist (Licence: SC 70) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-11-28 |