| NPI | 1881719714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1016279) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-03-02 |