| NPI | 1760462923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 000420) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 300041) |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2007-07-08 |