| NPI | 1548342777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 36-124) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 670-122) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-06-17 |