| NPI | 1679883409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C2333) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0308) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |