| NPI | 1255396750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35000525A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003028A) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2009-09-15 |