| NPI | 1487712253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 48-128) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-07-24 |