| NPI | 1568702819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1423) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2019-12-30 |