| NPI | 1588002760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-28277) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-3010) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |