| NPI | 1689694135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7131-123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 7131-123) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-06-12 |