| NPI | 1184608051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003047A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000851A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001113A) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-10-22 |