NPI | 1437288875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001235A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000361A) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2007-07-08 |