NPI | 1023177656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34022530ALCSW) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001172) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2024-04-27 |