| NPI | 1396800991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002371A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000656A) |
| 163W00000X Registered Nurse (Licence: IN 28050776A) | |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2007-07-08 |