| NPI | 1053464685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0499) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0719) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39000170A) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34002693A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000456A) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-08-01 |