| NPI | 1023438892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 35001920A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001920A) |
| 102L00000X Psychoanalyst (Licence: IN 35001920A) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2016-06-02 |