| NPI | 1902978018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002517A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001276A) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-08-26 |