| NPI | 1407174832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 34005188A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 34005188A) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |