NPI | 1467643551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002675) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000469) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |