| NPI | 1497886949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 3400559A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 3500096A) |
| 163W00000X Registered Nurse (Licence: IN 28045633A) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |