| NPI | 1558584300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 149) |
| 106H00000X Marriage & Family Therapist (Licence: WI 149-123) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-05-07 |