| NPI | 1538391123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS C1017) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS C1017) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2015-12-04 |