| NPI | 1447353479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC LISWCP002434) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC LMFT656) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |