| NPI | 1700123700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11159) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2815) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2016-06-03 |