NPI | 1548442791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1635-123) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 547-124) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |