| NPI | 1528098472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C2837) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0130) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |