NPI | 1417236746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002480A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000540A) |
Enumeration Date | 2011-08-04 |
Last Update Date | 2011-08-04 |