| NPI | 1891929212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5762) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5762) |
| 1041S0200X Social Worker, School (Licence: SC 5762) | |
| 1041S0200X Social Worker, School (Licence: MA 419253) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 59454) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2018-03-27 |