NPI | 1578823076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001260A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000989A) |
106H00000X Marriage & Family Therapist (Licence: IN 35000625A) | |
Enumeration Date | 2012-05-18 |
Last Update Date | 2012-05-18 |