| NPI | 1023197092 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 34004169A)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 34004169A)  | 
| Enumeration Date | 2006-11-02 | 
| Last Update Date | 2013-03-19 |