| NPI | 1962620625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L3196) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: OR L3196) |
| 106H00000X Marriage & Family Therapist (Licence: OR L3196) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-06-15 |