NPI | 1699094573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 7740-123) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2010-05-18 |
Last Update Date | 2016-09-16 |