| NPI | 1972646677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 202304) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 498) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |