| NPI | 1083007462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001907A) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2020-03-26 |