| NPI | 1447273669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003089A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000384A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000608A) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-11-26 |