| NPI | 1528049715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000496A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000827A) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2013-02-15 |