| NPI | 1285618165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000034A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000758A) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 39001244A) | |
| Enumeration Date | 2005-12-03 |
| Last Update Date | 2019-09-18 |