| NPI | 1942556360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 892) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2397) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2015-02-16 |