| NPI | 1619422771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 8701-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 8701) |
| 106H00000X Marriage & Family Therapist (Licence: WI 556-228) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2024-01-01 |