NPI | 1770636292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001210A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000585A) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2007-07-08 |