| NPI | 1912036609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 603124) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-07-10 |