NPI | 1710087317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 2808) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 491) |
Enumeration Date | 2006-09-23 |
Last Update Date | 2011-01-07 |