| NPI | 1790829968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 00142) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 04884) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-05-04 |