| NPI | 1518095660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 527) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 1022282) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-09-24 |