| NPI | 1518166362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009364) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL L299) |
| 1041C0700X Social Worker, Clinical (Licence: AL 2121C) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2016-07-22 |