| NPI | 1487664165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000594A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000273A) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-07-02 |