| NPI | 1912973348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW555) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT569) |
| Enumeration Date | 2006-02-25 |
| Last Update Date | 2020-05-18 |