| NPI | 1477657054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 003128) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000476) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-12-07 |