| NPI | 1962489450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 3764123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 358-124) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2015-09-28 |