| NPI | 1447513429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SWf1359) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MFT827) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2012-06-24 |