| NPI | 1578790150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002148) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 531) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2011-08-26 |