| NPI | 1700838919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34002842A) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34002842) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000617A) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-05-19 |