| NPI | 1427129923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002895A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001428A) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-01-20 |