| NPI | 1992246581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1178) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 3031612) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |