| NPI | 1760984447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19175) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD 19175) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2019-10-17 |