| NPI | 1700880283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1144) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 101) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2011-10-26 |