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 |