| NPI | 1851441034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2792-123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 471-124) |
| 106H00000X Marriage & Family Therapist (Licence: WI 186-124) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-09-26 |