NPI | 1043437270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35000689A) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 28050102A) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2008-03-24 |