| NPI | 1043437270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35000689A) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: IN 28050102A) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-03-24 |