| NPI | 1790330744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 104100000X Social Worker | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |