NPI | 1831249408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw3800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA csw000202) |
106H00000X Marriage & Family Therapist (Licence: GA mft000378) | |
Enumeration Date | 2007-01-12 |
Last Update Date | 2025-09-11 |