NPI | 1003145962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000575A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000267A) |
Enumeration Date | 2009-12-23 |
Last Update Date | 2009-12-23 |