| NPI | 1760594972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 1433) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 879) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-05-03 |