| NPI | 1427263888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 0647C) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 143) |
| 103T00000X Psychologist (Licence: FL PY3209) | |
| 106H00000X Marriage & Family Therapist (Licence: AL L33) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2012-09-04 |