| NPI | 1922292960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2006005245) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2007009250) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |