| NPI | 1609943364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 482-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 482-124) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-11-29 |