| NPI | 1023584950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002030A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 35002030A) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |