| NPI | 1265607691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 33001160A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000628A) |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2008-04-27 |