| NPI | 1760536676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: IN 3400276A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000455A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34002762A) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |