| NPI | 1043389968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001835A) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IN 31002783A) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-08-08 |