| 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 |