| NPI | 1548588601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34006174A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 99042158A) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2018-10-23 |