| 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 |