| NPI | 1619318979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 379-228) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 1979-127) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-12-13 |