NPI | 1457490559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2001123) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 198124) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |