| NPI | 1265524938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: IN 34003819A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 34003819A) |
| 1041C0700X Social Worker Clinical (Licence: IN 34003819A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 34003819A) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-08-31 |