| NPI | 1942368808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 0308) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 004728) |
| 106H00000X Marriage & Family Therapist (Licence: KS 208) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-10-12 |